Commonwealth Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMMONWEALTH MEDICAL GROUP, LLC

Practice address

851 S 70TH St
Suite 101
West Allis, WI 53214-3147

Phone

(414) 777-5100

Fax

(414) 777-5112

NPI assigned

May 27, 2006

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John A. Mutschelknaus

Title

Executive Director

Phone

(414) 777-5100

Specialties & licenses 14

Addresses

Locations

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A. Aldred, M.D.

  • Internal Medicine Physician
  • Franklin, WI
  • NPI 1528051539
  NPD (past)
• Richard D. Basile, M.D.

  • Internal Medicine Physician
  • New Berlin, WI
  • NPI 1962495978
  NPD (past)
• Thomas F Berns, M.D.

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1164404703
  NPD (past)
• Colleen Bonkowski, MD

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1508814286
  NPD (past)
• Joseph Paul Bonneville, PA

  • Physician Assistant
  • New Berlin, WI
  • NPI 1780632919
  NPD (past)
• Thomas R. Brand, M.D.

  • Internal Medicine Physician
  • Bayview, WI
  • NPI 1023001047
  NPD (past)
• Robert E. Brueggeman, M.D.

  • Internal Medicine Physician
  • Greenfield, WI
  • NPI 1255324273
  NPD (past)
• Frederick K. Bulacan, M.D.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1699768622
  NPD (past)
• Richard Bush, DO

  • Specialist
  • Bayside, WI
  • NPI 1417972803
  NPD (past)
• Prakash Bhajandas Chhabria, M.D.

  • Diagnostic Radiology Physician
  • Mequon, WI
  • NPI 1265416796
  NPD (past)
• Kenneth Clark, M.D.

  • Specialist
  • Milwaukee, WI
  • NPI 1356325518
  NPD (past)
• Mark A. Clemence, M.D.

  • Internal Medicine Physician
  • Hales Corners, WI
  • NPI 1255324216
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1477500361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143147",
            "telephone_number": "414-777-5100",
            "fax_number": "414-777-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143147",
            "telephone_number": "414-777-5100",
            "fax_number": "414-777-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MUTSCHELKNAUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-777-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1314-029",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Coleman
• Craig Coleman
• Eileen Collins, SAC-IT
• Ligeia J'N Collins, M.D. M.A.
• Shawana Collins, CSAC, LPC-IT
• Jennifer Lynn Comp, RN
• Compassionate Home and Hospice Care, LLC
• Complete Chiropractic and Rehab Center of West Allis LLC
• Comprehensive Health Services, LLC
• Cecily Conard

• Internal Medicine Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.